131I-SPECTCT对分化型甲状腺癌颈部及上纵隔转移灶的术前诊断价值.pdfVIP

中阁耳鼻咽喉抉翻外科12009年4月，第16棒，第4期 ·~t .. 131 卜SPEC丁/C丁对分化组甲状腺癌颈部及上纵隔转移灶的 术前诊断价值 3二建功1 ，孪军1 胡万宁1 ，陈宝明2 ，张瑞山2 (庸山市人民院院 1 头预料， 2 核~学料，河北唐山 063000) 131 [捕事] 目的 操讨 1_ 单光子发射型计算机晰层显 Tangshan , Hebei, 063000 , China) 像翩计算机晰层摄影 (single幽photon emission computed Corresponding author: HU Wanning (Email: tomography/computed tomography , SPECT/CT) 同 renmingyiyuanhu@126.com) 机融合显像对分化型甲状牒癌 (differentiated thyroid [ABSTRACT] OBJECTIVE To investigate the carcinoma , DTC) 患者头颈部及上纵隔转移灶的诊 diagnostic value of 1311_SP巨CT/C丁 fusion images in 断价值。方法 对30例术前行1311-SPECT/CT同机融合 detecting the metastases of dífferentiated thyroid 显像的DTC头颈部或上纵隔转移的患者图像结果，』否 carcinoma (0丁C) in the regions of the head , neck 翻淋巴清扫术后病理结果进行比较并加以分析。结果 and superior mediastinum. M巨THODS 1311_SPECTI 1311-SPECT/CT融合盟像检窜发现DTC转移灶110处， CT fusion images was preformed for 30 patients with 占95.65% (110/115) ， 有5处转移灶盟尔为阴性，占 O丁C， and the results of image were compared with the 4.35% (5/11 日，无假阳性病灶。结论 1311_SPECTI pathology after surgery. RESULTS There were 110 CT融合显像能准响检出、定位。TC转移灶和除外假阳性 cases positive findings in 115 metastatic lesions with 结果，街椅子。TC患者术前头研部及上纵隅转移灶的诊 1311_SPECT/CT fusion images examination (95.65%) . 断和鉴别诊断。 5 cases of the metastatic lesions showed negative in 1311_SPECT/C丁 (4.35%) . There was no false [关键词] 甲状腺肿瘤;体院摄影术，发射型计算机， 单光子;酬放射性同位素 positive case. CONCLUSION 1311_SPECT/C丁 fusion images can detect and locate the metastasis and Preoperative diagnostic value of 1311.SPECT/CT exclude